Mikeisha Brannock, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

20 Medical Campus Dr NW Ste 206
Supply, NC 28462-4094

Phone

(910) 239-3562

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nutrition in MotionGroup PAC ID 8123281938, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nutrition in Motion

  • Registered Dietitian
  • Wilmington, NC
  • NPI 1174800577

  Dietitian, Registered, SC

  Medicare reassignment Care Compare group NPD
• Norma J Cortez DDS PA

  dba Cape Fear Smiles

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1932562600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1962215293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-239-3562",
            "fax_number": "877-889-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW STE 206",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624094",
            "telephone_number": "910-239-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNOCK",
        "first_name": "MIKEISHA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beltone Coastal Carolina, LLC
• Sarah Katelyn Bender, MSW, LCSW-A
• Bio-Medical Applications of North Carolina, Inc. (FMC Brunswick County)
• Bowman Place
• Brandon E. Devito, DDS, PLLC (Brunswick Family Dentistry)
• Tonya Renee Brock, BSW, DS
• Kusanya Amice Brooks, PMHNP
• Benjamin Bryan Browning, MD
• Hannah Jo Browning
• Brunswick Cardiology (Brunswick Cardiology,PC)

• Registered Dietitian in Supply, NC
• Providers in Supply, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.